Active NPI
David M Luria, OD
- Optometrist
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3687
- Practice address
- 12 Eliot St
Cambridge, MA 02138-5706 - Phone
- (617) 354-3310
- Fax
- (617) 354-3310
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3687 | MA | Primary |
Addresses
Primary practice location
12 Eliot St
Cambridge, MA 02138-5706
Mailing address
12 Eliot St
Cambridge, MA 02138-5706
Phone (617) 354-3310
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0729299 | Medicaid | MA | |
| W16514 | Other | MA | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Eliot St
Cambridge, MA 02138-5824
Phone (617) 354-3303
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3687 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Massachusetts Professional PC | Optometrist | Current | Accepting new patients |
| David M Luria OD PC | Optometrist | Current | Accepting new patients |
Locations
15 Central St
Andover, MA 01810
Phone (978) 475-1230
12 Eliot St
Cambridge, MA 02138
Phone (617) 354-3303
615 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-3937
850 Chelmsford St
Lowell, MA 01851
Phone (978) 452-0127
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Andover, MA
- NPI 1952035040
-
- Optometrist
- Cambridge, MA
- NPI 1659584027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1306059779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 ELIOT ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385706",
"telephone_number": "617-354-3310",
"fax_number": "617-354-3310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 ELIOT ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385706",
"telephone_number": "617-354-3310",
"fax_number": "617-354-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LURIA",
"first_name": "DAVID",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0729299",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "W16514",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.